Hearth Record

Modesto Post Acute Center

A nursing home in Modesto, California 95350

159 E. Orangeburg Avenue, Modesto, California 95350. (209) 526-2811.

CMS’s own record, on Care Compare

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The short answer

Record last released by CMS on Oct 28, 2026.

The last 24 months 22 citations in 7 months of the last 36. Last cited Jul 2026. Most serious: actual harm (G). Every month

Each figure’s source sits beside it, in its section below.

What these words mean7
Star ratings
CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
Inspection (survey)
A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
Deficiency, citation, violation
What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
Scope and severity (A to L)
CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
Nurse staffing hours
The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
Fines and payment denials
A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
Capacity
The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.

What did inspectors find?

11 health citations at the latest inspection cycle

The California average is 15.7.

Last standard inspection Mar 20, 2026.

Most serious in three years: actual harm (G), at a complaint inspection on Nov 12, 2024

Source:

CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

When those citations happened

22 citations in 7 months of the last 36. Last cited Jul 2026. Most serious: actual harm (G). The last 3 years, to Nov 5, 2026.

22 citations by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

Hearth Record drew this from the dates and levels in the source’s own records.

All 22 citations in the last three years

Grouped by inspection, newest first. Each carries , from A, the least serious, to L, the most. 5 came from complaint inspections.

Source:

CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Jul 16, 2026: complaint inspection1 citation

  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Rule F0689. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Aug 12, 2026.

Mar 20, 2026: standard inspection10 citations

  • Ensure that residents are fully informed and understand their health status, care and treatments.

    Rule F0552. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 20, 2026.

  • Honor the resident’s right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Rule F0584. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 20, 2026.

  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Rule F0657. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 20, 2026.

  • Ensure services provided by the nursing facility meet professional standards of quality.

    Rule F0658. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 20, 2026.

  • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Rule F0804. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 20, 2026.

  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Rule F0812. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 20, 2026.

  • Dispose of garbage and refuse properly.

    Rule F0814. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 20, 2026.

  • Provide and implement an infection prevention and control program.

    Rule F0880. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 20, 2026.

  • Implement a program that monitors antibiotic use.

    Rule F0881. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 20, 2026.

  • Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

    Rule F0912. B: no actual harm, potential for minimal harm. Correction date, as CMS recorded it: Apr 20, 2026.

May 28, 2025: complaint inspection1 citation

  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Rule F0609. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 20, 2025.

Nov 12, 2024: complaint inspection1 citation

  • Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Rule F0550. G: actual harm. From a complaint. Correction date, as CMS recorded it: Dec 7, 2024.

Oct 1, 2024: complaint inspection1 citation

  • Prepare residents for a safe transfer or discharge from the nursing home.

    Rule F0624. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Oct 17, 2024.

Aug 15, 2024: standard inspection7 citations

  • Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Rule F0644. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 6, 2024.

  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Rule F0689. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 6, 2024.

  • Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    Rule F0740. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 6, 2024.

  • Ensure that residents are free from significant medication errors.

    Rule F0760. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 6, 2024.

  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Rule F0842. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 6, 2024.

  • Provide and implement an infection prevention and control program.

    Rule F0880. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 6, 2024.

  • Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

    Rule F0912. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 6, 2024.

May 1, 2024: complaint inspection1 citation

  • Reasonably accommodate the needs and preferences of each resident.

    Rule F0558. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 27, 2024.

Is it certified, and in good standing?

  • Certified for Medicare and Medicaid since Dec 7, 1967.
  • Not on CMS’s special focus list.
  • No abuse icon from CMS.
  • No change of ownership in the last 12 months.
  • CMS lists its ownership as for profit, limited liability company.
  • 99 certified beds.
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Has it been fined or penalized?

  • No fines in the last three years.
  • No Medicare payment denials in the last three years.
  • 5 citations in the last three years came from complaint inspections.
Source:

CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Who does the caring?

4.03 nurse hours per resident per day

The California average is 4.54.

CMS publishes staffing about four months after the fact.

Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

Staffing measures
MeasureThis homeCalifornia average
Nurse hours per resident per day4.034.54
Of which registered nurses0.850.68
At weekends3.724.10
Nursing staff turnover35.1%36.6%
Registered nurse turnover23.5%37.8%
Administrators who left0Not given

Who owns it?

  • Crescent Facilities Operations LLC owns 100% directly since Dec 19, 2006.
  • Cambridge Healthcare Services LLC runs it.
  • 25 owners or officers are people: Ira Smedra (owns 5% or more through other companies, 5.75%); Jacob Wintner (owns a share through other companies, 3%); Linda Lutz (runs it (operational or managerial control)); Linda Lutz (additional disclosable party (controls, leases property to, or provides services to the home)); Gregory Bretsch (runs it (operational or managerial control)); Gregory Bretsch (on the governing body (managing control)); Gregory Bretsch (additional disclosable party (controls, leases property to, or provides services to the home)); Atul Verma (runs it (operational or managerial control)); Atul Verma (additional disclosable party (controls, leases property to, or provides services to the home)); Lance A Hassell (runs it (operational or managerial control)); Lance A Hassell (additional disclosable party (controls, leases property to, or provides services to the home)); Ira Smedra (runs it (operational or managerial control)); Ira Smedra (additional disclosable party (controls, leases property to, or provides services to the home)); Jacob Wintner (runs it (operational or managerial control)); Jacob Wintner (additional disclosable party (controls, leases property to, or provides services to the home)); London Guinan (runs it (operational or managerial control)); Paulina Salazar (runs it (operational or managerial control)); Paulina Salazar (additional disclosable party (controls, leases property to, or provides services to the home)); Julie Butenko (runs it (operational or managerial control)); Julie Butenko (additional disclosable party (controls, leases property to, or provides services to the home)); Maxine Niel (runs it (operational or managerial control)); Maxine Niel (on the governing body (managing control)); Maxine Niel (additional disclosable party (controls, leases property to, or provides services to the home)); Heidi Capela (runs it (operational or managerial control)); Heidi Capela (additional disclosable party (controls, leases property to, or provides services to the home)).
  • Part of Cambridge Healthcare Services (32 homes in CMS’s data).
  • No private-equity firm among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

CMS, All Owners. Checked Nov 5, 2026. Updated monthly.

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Organisations CMS lists
OrganisationRoleShareSince
Crescent Facilities Operations LLCOwns 5% or more directly100%Dec 19, 2006
Win Win Enterprises, LLCOwns 5% or more through other companies35%Feb 1, 2007
Jenmax Enterprises LLCOwns 5% or more through other companies23%Feb 1, 2007
Jk-Csh Jv LLCOwns 5% or more through other companies12%Nov 1, 2006
Manhattan FIVE Partners LLCOwns 5% or more through other companies6.52%Nov 1, 2006
Bering Properties LLCOwns 5% or more through other companies6%Feb 1, 2007
Bh AllianceOwns a share through other companies4%Nov 1, 2006
The Jacob Wintner TrustOwns a share through other companies2%Nov 1, 2006
The Wintner Living Trust Dated 7/08/1992Owns a share through other companies1%Feb 1, 2007
Win Win Enterprises, LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Dec 15, 2006
Cambridge Healthcare Services LLCRuns it (operational or managerial control)Apr 1, 2014
Cambridge Healthcare Services LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Oct 23, 2025
Jenmax Enterprises LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Dec 15, 2006
Jk-Csh Jv LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Dec 15, 2006
159 East Orangeburg LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Dec 15, 2006

How do residents fare?

  • CMS rates its quality measures 5 of 5 (California average 4.2).
Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

CMS’s star ratings, from 1 to 5
MeasureRating
Overall rating5 of 5
Health inspections4 of 5
Staffing4 of 5
Quality measures5 of 5

How does it compare nearby?

  • Among the 12 nearest homes, within 9.3 miles, this one had the 9th most health citations at the latest inspection cycle (11; the middle value was 14.5).
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

The 12 nearest, by straight-line distance
PlaceMiles awayCitations, latest cycle
Modesto Post Acute Center This nursing home11
Valley Skilled Nursing Center0.010
Golden Modesto Care Center0.711
Garden City Healthcare Center1.116
Crestwood Manor1.23
River View Post Acute1.429
Almond Vista Healthcare2.219
English Oaks Convalescent & Rehabilitation Hospita3.015
Vintage Faire Nursing & Rehabilitation Center3.826
Ceres Postacute Care4.214
Riverbank Post-Acute5.516
Bethany Home Society San Joaquin County9.314

What the record doesn’t say

  • Complaints that didn’t lead to a citation aren’t published.
  • Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
  • CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
  • Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.

Sources

  • Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).

    Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

Source:

This copy of the record was made on Nov 5, 2026.

From the home

The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.

Paid listing

None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

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